MSH|^~\&|ADM|SMH|||201910102024||ADT^A04|4075040|D|2.2|||AL|NE
EVN|A04|201910102024||||201910081100
PID|1|FHATVIG0011775|SM00046489|SM46280|ADMSTEN^SIGMUND^BERT|ANUREET|19900601|M|||BOX 1345^^SARDIS^BC^V0Z 10A|||||||SM002892/19|
PV1|1|O|SM.AMIV||||.UNATTACH^Unattach^^^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201910081100|
PV2|||IV THERAPY
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||F
OBX|2|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|3|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||N^NO||||||F
OBX|4|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||N^NO||||||F
OBX|5|CE|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N^NO||||||F
OBX|6|TX|INS OPC^Other Province Health Care Number^INS||5646458||||||F
GT1|1||ADMSTEN^SIGMUND^BERT||BOX 1345^^SARDIS^BC^V0Z 10A||||||SP
ZFD|RICHARDD^Richardson^David^R.^^^^07868^DOC|112 - 5501 204 Street^^Langley^BC^V3A 5N8|||.UNATTACH^Unattach^^^^^^^OTH|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910102025||ADT^A04|4075046|D|2.2|||AL|NE
EVN|A04|201910102025||||201910081830
PID|1|FHATVIG0011773|SM00046487|SM46278|ADMSTEN^SIGMUND^BERT|SUMANDEEP|19910822|M|||BOX 1345^^SARDIS^BC^VOZ 1A0|||||||SM002890/19|
PV1|1|O|SM.AMIV||||.UNATTACH^Unattach^^^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201910081830|
PV2|||IV THERAPY CLINIC
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||F
OBX|2|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|3|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||N^NO||||||F
OBX|4|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||N^NO||||||F
OBX|5|CE|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N^NO||||||F
OBX|6|TX|INS OPC^Other Province Health Care Number^INS||5646458||||||F
OBX|7|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
GT1|1||ADMSTEN^SIGMUND^BERT||BOX 1345^^SARDIS^BC^VOZ 1A0||||||SP
ZFD|RICHARDD^Richardson^David^R.^^^^07868^DOC|112 - 5501 204 Street^^Langley^BC^V3A 5N8|||.UNATTACH^Unattach^^^^^^^OTH|
ZFH|LUMED||||||

